STEPHEN R MALCOLM - Nursing Home Administrator License in Illinois | # 044002884

STEPHEN R MALCOLM

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044002884

License Status

NOT RENEWED

Business

N

First Name

STEPHEN R

Last Name

MALCOLM

Business Name

STEPHEN R MALCOLM

Original Issue Date

05/29/1984

Expiration Date

11/30/1987

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005